AMERICAN ASSOCIATION OF UNIVERSITY WOMEN



AAUW ASSOCIATE DEGREE SCHOLARSHIP APPLICATION – (Revised 2016)

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|1. Last Name First Name |

|Middle |

|2. Cascade County Address City Zip Code |

|3. Telephone Nos. |4.email address |5. Social Security Number |

|6.Birthdate Age |7.Children/Ages |8. Spouse / Other Dependents (if applicable) |

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|Marital Status | | |

|9. College you will be attending next semester/ Field of study | Number of credits completed by the end of |

| |this semester |

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|10. High School(s) & College(s) attended: |

|Name Location |

|Dates |

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|11. Recent Honors and Awards |

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|Describe school and community activities in which you are involved. |

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|13. Will you be working during the school year? Explain: |

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|Are there any unusual financial hardships that might prevent continuation of your education? |

|Yes _____ No_____ If yes, please explain: |

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|15. Previous Scholarships/Grants Year(s) received Amount |

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|________________________________________________________________________________________________ |

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|16. Estimated budget for the next academic semester (Income sources do not have to equal projected expenses) |

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|PROJECTED COLLEGE EXPENSES ANTICIPATED MONETARY SOURCES |

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|Tuition & Fees $ Parents/Spouse $ |

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|Books & Supplies $ Personal savings $ |

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|Room $ Job $ |

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|Board $ Scholarships/Grants $ |

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|Other $ Loans $ |

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|$ Other $ |

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|TOTAL $ TOTAL $ |

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|17. 1 17. BY YOUR SIGNATURE YOU ARE AUTHORIZING AAUW TO CONTACT YOUR DESIGNATED SCHOOL FOR |

|VE VERIFICATION OF YOUR TRANSCRIPTS AND EFC (FAFSA) |

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|Yo Your signature_______________________________________________ Date________________________ |

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|18. Re 18. References: At least 1 academic & 1 personal/employer. Letters must be in by due date of application. |

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|Full NFull Name and Title Occupation Address Phone No. |

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19. In less than 500 words, describe your goals and how you plan to use your education. (You may attach a separate sheet of paper or continue on back.)

20. Must be read and signed by applicant as desired:

By signing below, I confirm the accuracy of the enclosed information and understand that any false or misleading statements may invalidate my application.

Signature___________________________________________ Date____________________

Federal regulation requires us to obtain your permission to release your academic or biographical information to AAUW and/or the media if you win the award. By signing below, I agree that relevant information may be so released.

Signature__________________________________________ Date_______________________

_____________________________________________________________________________________

21. (Not required):

How did you find out about this scholarship? Please circle all that apply.

A. Financial Aid Office B. College Instructor C. Parent/Friend D. AAUW Member

E. Great Falls Tribune F. AAUW Website G. Other_________________________________

REMINDER

A current college transcript must be enclosed.

The release form for FAFSA must be signed.

At least two letters of recommendation must have been requested and sent.

The completed application, transcripts and 2 reference letters must be postmarked at the latest on Friday, October 30, 2020 and sent to:

AAUW Associate Degree Scholarship Committee

P.O. Box 2962

Great Falls, MT 59403

If you have any questions, please contact Jane Hashley, 781-2315 or janehashley@.

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